Volume 31, Number 3 (September/October)

Since intensive insulin therapy is intended to mimic the body’s natural production of insulin, it requires both basal, or long-acting, insulin and bolus, or rapid-acting, insulin. Ryan here outlines how an insulin chart works and how it can help patients achieve better control over their condition.Drug treatment — Insulin

Continuous subcutaneous insulin infusion (CSII) is an alternative to multiple daily injections (MDI) that may help patients achieve better glycemic control with fewer hypoglycemic events. Evidence indicates that patients with Type 1 diabetes treated with CSII show a greater reduction in HbA1c than those treated with MDI, and the number of patients using CSII is growing rapidly. This article reviews the evidence on the use of CSII and offers recommendations for incorporating it into clinical practice.Drug treatment — Insulin

The patient-centered medical home (PCMH) takes a team approach to providing preventive services, treatment of acute and chronic illnesses, and end-of-life care. This model has become a useful approach for providing care for diabetes patients. This article outlines the role of the diabetes educator in PCMH.Education

New York City Mayor Michael Bloomberg, citing the nationwide obesity crisis, wants to ban large-size sodas, energy drinks, and presweetened iced teas from being sold in various venues. In this Commentary, Dr. Reasner explains that he fears this approach will not change matters and talks about the role of the desire to change in weight loss. Management strategies and tools — Psychosocial issues